Autumn Kiana Chambers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127740 Issued in CA

Practice address

42455 10TH St W Ste 103
Lancaster, CA 93534-7060

Phone

(562) 228-7180

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD
• Go With US

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1205626660

  Clinical

  NPD Authorized official
• Fleming & Barnes

  • Social Worker
  • Torrance, CA
  • NPI 1538037031
  NPD
• Fleming & Barnes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Torrance, CA
  • NPI 1760940480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1447825591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44055 47TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362366",
            "telephone_number": "661-202-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42455 10TH ST W STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347060",
            "telephone_number": "562-228-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43520 Division St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935354089",
            "country_code": "US",
            "telephone_number": "661-266-4783",
            "fax_number": "661-266-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23824 Hawthorne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905055935",
            "country_code": "US",
            "telephone_number": "310-791-3064 x500",
            "fax_number": "310-791-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "AUTUMN",
        "middle_name": "KIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "127740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Challenger
• Challenger
• Challenger Memorial Youth Center
• Challenger Youth Memorial Center
• Kirin Ann Challman
• Carol Ann Chambers, MFT
• Maria Guadalupe Chamorro
• Angel Champagne
• Champlin Orthodontics
• Thad Loren Champlin, DDS, MSD

• Clinical Social Worker in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.